Information
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Document No.
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Site / Job Number
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Unit Number (Registration)
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Conducted on
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Prepared by
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Location
Unit Information
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Make / Model
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Operating Weight (kg)
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Serial No
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Year of manufacture
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Hours
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Attachments
- 300mm Bucket
- 450mm Bucket
- 600mm Bucket
- Mud Bucket
- Ripper
- Hammer
- Lifting Attachment
- Security chains for Attachments
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Other Information
Plant Condition
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Paint / Surface
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Cabin Interior
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Seatbelts
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Chassis / Frame
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Greasing
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Oil Leaks
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Drives / Sprockets / Rollers / Idlers
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Slew Drive / Bearing
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Boom Cylinder(s)
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Stick Cylinder(s)
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Bucket Cylinder(s)
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Hydraulic Lines
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Maintenance Access and Handrails
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Stickers / Logos
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Comments
Servicing and Maintenance Compliance
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Is machine within service dates
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Last Completed Date
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Last Completed Maintenance/ service (hours)
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Is EFMR Required?
Australian Standards and Thiess CSC Compliance (Lifting)
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Rated Lifting Lug (SWL Stamped)/ lifting attachment
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SWL Sticker on Boom
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Load Charts (English, Metric)
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Load Check Valves Fitted to Boom and Stick Cylinders
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Bucket Cylinder Fully Extended during Lifting Operations
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Quick Hitch to have a second locking pin to avoid accidental throwing of attachment
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Lifting Equipment Tested & Tagged (RUGBY)
Site Audit Photos
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Cabin Interior
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General condition Exterior
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Boom
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Tracks
General Notes
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General Comments
Signoff
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